Individual provider · Type 1 NPI

Diane Blackiston, LCSW

Clinical Social Worker · Virginia Beach, VA

NPI number 1417048372 Active

Practice location

297 Independence Blvd, Suite 126
Virginia Beach, VA 23462-2911

Call (757) 385-0511 Map

Fax (757) 473-5161

Mailing address

289 Independence Blvd, Suite 312
Virginia Beach, VA 23462

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904004231 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1417048372

Diane Blackiston, LCSW's National Provider Identifier is 1417048372, issued on Sep 27, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 29, 2015.